In a 2017 interview with PunkNews, Jello Biafra touched on the release of Plastic Surgery Disasters:
I was really inspired by the initial blast of positive energy of the DC hardcore scene, and I was getting really tired of living with substance-addled roommates. I thought straight edge was great even though I still drunk some, even to this day on occasion.
I wanted to do something like that. We had these early songs, and wanted to go more in the “Cambodia” Direction and do Plastic Surgery which is still my favorite of the Dead Kennedys albums. It’s darker, more uniquely us. Ironic, considering what the other guys claimed, it was more of a group written album.